Awareness Swasthya Bima Yojana
Country of Operation
- Roy & Sundaram & Alliance Insurance CompanyFor-profit
SummaryLaunched by the Union Ministry of Labour and Employment, the scheme provides two basic categories of microinsurance policies: health insurance and social security.
Awareness Swasthya Bima Yojana has two primary microinsurance policy goals: providing health insurance and social security to India's most vulnerable populations
Key program components
Launched by the Union Ministry of Labour and Employment, the scheme provides cover for medical expenses upto Rs 30,000 for a family of five on a floater basis. The Central Government pays 90 percent of the total premium in Jammu & Kashmir and North East States (75% for other states) while the respective State Government pays the remaining amount. The voluntary health product covers up to US$222 (Rs. 10,000) hospitalization per family and US$222 (Rs. 10,000) per person personal accident (only policy holder and spouse). The product also covers up to US$33 (Rs. 1500) for normal delivery and US$67 (Rs. 3000) for Cesarean Section after the first six months. Pre-existing conditions such as cataracts, hysterectomy, kidney stones, ulcers, hernia, and arthritis are covered after the first year. Major exclusions include AIDS/HIV, STDs, vaccinations, experimental treatment, dental, suicide or self-injury, fertility procedures, occupational injury, and injury or death to mother or child during childbirth.